Antoinette Blackstock, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

95039382 Issued in CA

Practice address

1333 Chestnut Ave
Long Beach, CA 90813-2944

Phone

(562) 753-2301

NPI assigned

Dec 30, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: ablackstock@dhs.lacounty.gov

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1841903291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MONROE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 CHESTNUT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132944",
            "telephone_number": "562-753-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTOCK",
        "first_name": "ANTOINETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "95039382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ablackstock@dhs.lacounty.gov",
            "affiliation": "N",
            "address_1": "1333 Chestnut Ave",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908132944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Black
• Jennifer Ann Blackburn, RN
• Carol Anne Blackmon, RN PHN
• Roger Blackshear
• Heather Blackshire
• Rachel E Blaine, DSC, MPH, RDN
• Frank Clarence Blair III, DDS
• Scott M Blaisdell, LCSW
• Emily Lorraine Blake
• John L. Blake, D.D.S.

• Ambulatory Care Registered Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Ambulatory Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.